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1306009246
BARBARA THAKE
SPRINGFIELD, IL
NPI
1306009246
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
225X00000X Occupational Therapist
(Licence: IL 056000212)
Enumeration Date
2008-07-09
Last Update Date
2008-07-09
Business Address
BARBARA THAKE OT/L
2040 TIMBERBROOK DR
SPRINGFIELD, IL 62702-6623
Phone number: 217-726-1946
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Mailing Address
BARBARA THAKE OT/L
19 LAKE RIDGE CT
BLOOMINGTON, IL 61701-1475
Phone number:
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